TY - JOUR
AU - Glied,Sherry
AU - Hoven,Christina
AU - Moore,Robert
AU - Garrett,A. Bowen
TI - Medicaid and Service Use Among Homeless Adults
JF - National Bureau of Economic Research Working Paper Series
VL - No. 5834
PY - 1996
Y2 - November 1996
DO - 10.3386/w5834
UR - http://www.nber.org/papers/w5834
L1 - http://www.nber.org/papers/w5834.pdf
N1 - Author contact info:
Sherry A. Glied
Robert F. Wagner Graduate School of Public Service
New York University
295 Lafayette Street, 2nd Floor
New York, NY 10012
Tel: 212-998-7527
Fax: 212-995-4161
E-Mail: sherry.glied@nyu.edu
Christina Hoven
robert moore
E-Mail: robertbobarenee@sbcglobal.net
Bowen Garrett
Health Policy Center
Urban Institute
2100 M Street NW
Washington, DC 20037
E-Mail: bgarrett@urban.org
AB - Expansions of Medicaid eligibility intend to improve access to care, and to shift care from emergency rooms and inpatient hospital care to more appropriate sites. We examine the effect of Medicaid recipiency on the level and site of medical service utilization using data from 1985 and 1987 surveys of New York City homeless single men and women. Simple regressions of Medicaid on the use of health services among homeless adults indicate that Medicaid significantly increases the likelihood that these individuals receive services, especially emergency and inpatient hospital services. We test this result in further analyses that control for health status, use instrumental variables procedures, and examine differences between a similar population in 1985 and 1987. These analyses suggest that Medicaid neither increases nor diminishes access to emergency rooms. We find some evidence that suggests that Medicaid does improve access to non-hospital medical care.
ER -